RESOLUTION NO. -2026
RESOLUTION OF THE FORT BRAGG CITY COUNCIL DESIGNATING A RESPONSIBLE PERSON FOR AFFORDABLE CARE ACT REPORTING
WHEREAS, the City of Fort Bragg (the “agency”) is an Applicable Large Employer (ALE) under the federal Affordable Care Act (ACA); and WHEREAS, federal regulations require governmental ALEs to designate an individual responsible for furnishing and filing ACA forms; and WHEREAS, the Agency aims to comply with ACA reporting mandates; and NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Fort Bragg hereby as follows:
Designation: The role of Human Resources Manager is designated as the individual responsible for the Agency’s ACA reporting.
Scope: This responsibility covers the reporting for all full-time employees as required by ACA reporting requirements.
Agency Information: The Agency’s legal details are City of Fort Bragg, 416 N. Franklin St., Fort Bragg, CA 95437, and EIN 94-6000335.
Designated Person Information: The designated person’s details are Juli Mortensen, Human Resources Manager, 416 N. Franklin St., Fort Bragg, CA 95437, and EIN 94-6000335.
Acknowledgement: The designated person acknowledges and certifies their ACA reporting responsibility for the Agency.
Authorization: The Human Resources Manager is authorized to execute this resolution and related documents to formalize this designation.
The above and foregoing Resolution was introduced by Councilmember , seconded by Councilmember , and passed and adopted at a regular meeting of the City Council of the City of Fort Bragg held on the 23rd day of February, 2026, by the following vote:
AYES:
NOES:
ABSENT:
ABSTAIN:
RECUSED:
Jason Godeke
Mayor
ATTEST:
Diana Paoli
City Clerk
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